Mr Crockett Tidwell, RPH - Pharmacist in Lubbock, TX

Mr Crockett Tidwell, RPH is a Pharmacist - Pharmacist Clinician (phc)/ Clinical Pharmacy Specialist based in Lubbock, Texas. Mr Crockett Tidwell is licensed to practice in Texas (license number 38448) and his current practice location is 4205 98th St, Lubbock, Texas. He can be reached at his office (for appointments etc.) via phone at (806) 798-6115.

NPI number for Mr Crockett Tidwell is 1013319714 and his current mailing address is 4205 98th St, Lubbock, Texas. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1013319714.

Contact Information

Mr Crockett Tidwell, RPH
4205 98th St,
Lubbock, TX 79423-3971
(806) 798-6115
(806) 798-6117

Healthcare Provider's Profile

Full NameMr Crockett Tidwell
GenderMale
SpecialityPharmacist - Pharmacist Clinician (phc)/ Clinical Pharmacy Specialist
Location4205 98th St, Lubbock, Texas
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1013319714
  • Provider Enumeration Date: 09/24/2014
  • Last Update Date: 09/24/2014

Medical Identifiers

Medical identifiers for Mr Crockett Tidwell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013319714NPI-NPPES
38448OtherTXPHARMACY LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1835P0018XPharmacist - Pharmacist Clinician (phc)/ Clinical Pharmacy Specialist 38448 (Texas)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Crockett Tidwell is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Crockett Tidwell, RPH
4205 98th St,
Lubbock, TX 79423-3971

Ph: (806) 798-6115
Mr Crockett Tidwell, RPH
4205 98th St,
Lubbock, TX 79423-3971

Ph: (806) 798-6115

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› Verified 6 days ago


Pharmacist in Lubbock, TX

Jamy Lynn Young, RPH
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Phone: 806-788-3601    Fax: 806-788-3611
Danielle Grace Vargas, PHARMD
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Phone: 630-788-9523    
Dr. Kuline Elizabeth Wendling, PHARM. D.
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Practice Location: 5805 86th St, Lubbock, TX 79424
Phone: 806-317-3452    
Mrs. Cheri B Ray, R.PH.
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Practice Location: 6104 Avenue Q South Dr, Lubbock, TX 79412
Phone: 806-472-3400    Fax: 806-472-3401
Raina Leith French, RPH
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Medicare: Not Enrolled in Medicare
Practice Location: 6104 Avenue Q South Dr, Lubbock, TX 79412
Phone: 806-472-3400    Fax: 806-472-3401
Tammy Renee Brewer,
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Medicare: Not Enrolled in Medicare
Practice Location: 5206 4th St, Lubbock, TX 79416
Phone: 806-792-1377    Fax: 806-792-2816

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